早期新生儿黄疸的动态监测及早期干预治疗效果评价  

Dynamic Detection of Early Neonatal Jaundice and Effect of Early Intervention

作　　者：姜晓华[1] 孙丽娟[1] 张冬华[1] 王琦[1] 董九伟[1] 刘淑平[1] 

机构地区：[1]解放军第107医院,山东烟台264002

出　　处：《临床军医杂志》2007年第2期253-254,共2页Clinical Journal of Medical Officers

摘　　要：目的观察出生1周内新生儿黄疸的动态变化、高胆红素血症患儿病因分析及早期干预治疗的效果。方法利用经皮胆红素测定仪对我院产科出生的928例新生儿每日进行同一部位的皮肤测定,根据新生儿不同出生情况对超过胆红素值安全范围的及时给予口服药物或转儿科蓝光治疗。结果928例新生儿因高胆红素血症住院156例,高胆红素血症发生率为15.74%,无1例发生胆红素脑病。结论对新生儿黄疸进行监测和早期干预治疗,可大幅度降低高胆红素血症的发病率,从而防止胆红素脑病的发生。Objective To observe the bilirnbin dynamically in newborn infants with a age of 1 -7days, the influence factors of newborn hyperbilirnbinemia, and the effect of early interventional management on it. Methods A total of 928 infants＇ bilirnbin levels were measured every day through transcutaneous bilirnbinometer. The interventional managements were applied to the infants whose bilirubin levels were harmful. Results Among the 928 infants, the morbidity of hyperbilirnbinemia was 15.74%： There was no bilirnbin encephalopathy in them. Conclusion The morbidity of newborn hyperbilirnbinemia can be highly reduced if the neonatal jaundice is dynamically monitored and early intervened, and therefore bilirnbin encephalopathy will be prevented.

关 键 词：新生儿 黄疸 高胆红素血症 干预 

分 类 号：R722.17[医药卫生—儿科]